MENTALBipolar Flashcards
A highly agitated client paces the unit and states, I could buy and sell this place. The clients mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate documentation of this clients behavior?
A. Rates mood 8/10. Exhibiting looseness of association. Euphoric.
B. Mood euthymic. Exhibiting magical thinking. Restless.
C. Mood labile. Exhibiting delusions of reference. Hyperactive.
D. Agitated and pacing. Exhibiting grandiosity. Mood labile.
D. Agitated and pacing. Exhibiting grandiosity. Mood labile.
A client diagnosed with bipolar I disorder is distraught over insomnia experienced over the last 3 nights and a 12-pound weight loss over the past 2 weeks. Which should be this clients priority nursing diagnosis?
A. Knowledge deficit R/T bipolar disorder AEB concern about symptoms
B. Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss
C. Risk for suicide R/T powerlessness AEB insomnia and anorexia
D. Altered sleep patterns R/T mania AEB insomnia for the past 3 nights
B. Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss
A nurse is planning care for a client diagnosed with bipolar disorder: manic episode. In which order should the nurse prioritize the listed client outcomes? RMSI
Client Outcomes:
1. Maintains nutritional status.
2. Interacts appropriately with peers.
3. Remains free from injury.
4. Sleeps 6 to 8 hours a night.
A. 2, 1, 3, 4
B. 4, 1, 2, 3
C. 3, 1, 4, 2
D. 1, 4, 2, 3
C. 3, 1, 4, 2
A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on sertraline (Zoloft). Family reports that the client has experienced anorexia, insomnia, and recent job loss. What should be the priority nursing diagnosis for this client?
A. Risk for suicide R/T hopelessness
B. Anxiety: severe R/T hyperactivity
C. Imbalanced nutrition: less than body requirements R/T refusal to eat
D. Dysfunctional grieving R/T loss of employment
A. Risk for suicide R/T hopelessness
A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate because he complains that it makes him feel sick. Which of the following medications might be alternatively prescribed for mood stabilization in bipolar disorders?
A. Sertraline (Zoloft)
B. Valproic acid (Depakote)
C. Trazodone (Desyrel)
D. Paroxetine (Paxil)
B. Valproic acid (Depakote)
A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A physician prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The clients spouse questions the Zyprexa order. Which is the appropriate nursing reply?
A. Zyprexa in combination with Eskalith cures manic symptoms.
B. Zyprexa prevents extrapyramidal side effects.
C. Zyprexa ensures a good nights sleep.
D. Zyprexa calms hyperactivity until the Eskalith takes effect.
D. Zyprexa calms hyperactivity until the Eskalith takes effect.
A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?
A. Thats strange. Weight loss is the typical pattern.
B. What have you been eating? Weight gain is not usually associated with lithium.
C. Weight gain is a common but troubling side effect.
D. Weight gain occurs only during the first month of treatment with this drug.
C. Weight gain is a common but troubling side effect.
A nursing instructor is teaching about the prevalence of bipolar disorder. Which student statement indicates that learning has occurred?
A. This disorder is more prevalent in the lower socioeconomic groups.
B. This disorder is more prevalent in the higher socioeconomic groups.
C. This disorder is equally prevalent in all socioeconomic groups.
D. This disorders prevalence cannot be evaluated on the basis of socioeconomic groups.
B. This disorder is more prevalent in the higher socioeconomic groups.
A client diagnosed with bipolar disorder, who has taken lithium carbonate (Lithane) for 1 year, presents in an emergency department with severe diarrhea, blurred vision, and tinnitus. How should the nurse interpret these symptoms?
A. Symptoms indicate consumption of foods high in tyramine.
B. Symptoms indicate lithium carbonate discontinuation syndrome.
C. Symptoms indicate the development of lithium carbonate tolerance.
D. Symptoms indicate lithium carbonate toxicity.
D. Symptoms indicate lithium carbonate toxicity.
A nursing instructor is discussing various challenges in the treatment of clients diagnosed with bipolar disorder. Which student statement demonstrates an understanding of the most critical challenge in the care of these clients?
A. Treatment is compromised when clients cant sleep.
B. Treatment is compromised when irritability interferes with social interactions.
C. Treatment is compromised when clients have no insight into their problems.
D. Treatment is compromised when clients choose not to take their medications.
D. Treatment is compromised when clients choose not to take their medications.
A client is diagnosed with bipolar I disorder: manic episode. Which nursing intervention would be implemented to achieve the outcome of Client will gain 2 pounds by the end of the week?
A. Provide client with high-calorie finger foods throughout the day.
B. Accompany client to cafeteria to encourage adequate dietary consumption.
C. Initiate total parenteral nutrition to meet dietary needs.
D. Teach the importance of a varied diet to meet nutritional needs.
A. Provide client with high-calorie finger foods throughout the day.
A client is diagnosed with bipolar disorder and admitted to an inpatient psychiatric unit. Which is the priority outcome for this client?
A. The client will accomplish activities of daily living independently by discharge.
B. The client will verbalize feelings during group sessions by discharge.
C. The client will remain safe throughout hospitalization.
D. The client will use problem-solving to cope adequately after discharge.
C. The client will remain safe throughout hospitalization.
A nurse begins the intake assessment of a client diagnosed with bipolar I disorder. The client shouts, You cant do this to me. Do you know who I am? Which is the priority nursing action in this situation?
A. To provide self and client with a safe environment
B. To redirect the client to the needed assessment information
C. To provide high-calorie finger foods to meet nutritional needs
D. To reorient the client to person, place, time, and situation
A. To provide self and client with a safe environment
***A client is diagnosed with cyclothymic disorder. What client behaviors should the nurse expect to assess?
A. The client expresses feeling blue most of the time.
B. The client has endured periods of elation and dysphoria lasting for more than 2 years.
C. The client fixates on hopelessness and thoughts of suicide continually.
D. The client has labile moods with periods of acute mania.
B. The client has endured periods of elation and dysphoria lasting for more than 2 years.
After teaching a client about lithium carbonate (Lithane), a nurse would consider the teaching successful on the basis of which client statement?
A. I should expect to feel better in a couple of days.
B. Ill call my doctor immediately if I experience any diarrhea or ringing in my ears.
C. If I forget a dose, I can double the dose the next time I take this drug.
D. I need to restrict my intake of any food containing salt.
B. Ill call my doctor immediately if I experience any diarrhea or ringing in my ears.
